Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study
Abstract Background Atrial fibrillation (AF) increases heart failure (HF) risk and can eventually increase morbidity and mortality. Therefore, recognizing risk factors in AF patients is crucial to prevent heart failure. To date, there has been no research on this topic in Indonesia. Objective To det...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.70061 |
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| author | Resultanti Irwan Muin Muhammad Yamin Ika Prasetya Wijaya Kuntjoro Harimurti Hamzah Shatri Cosphiadi Irawan Pradana Soewondo |
| author_facet | Resultanti Irwan Muin Muhammad Yamin Ika Prasetya Wijaya Kuntjoro Harimurti Hamzah Shatri Cosphiadi Irawan Pradana Soewondo |
| author_sort | Resultanti Irwan Muin |
| collection | DOAJ |
| description | Abstract Background Atrial fibrillation (AF) increases heart failure (HF) risk and can eventually increase morbidity and mortality. Therefore, recognizing risk factors in AF patients is crucial to prevent heart failure. To date, there has been no research on this topic in Indonesia. Objective To determine risk factors of new‐onset HF in AF patients. Methods Case–control study was undertaken at Cipto Mangunkusumo Hospital using medical record data from January 2018 to May 2023. AF patients aged ≥18 years with new‐onset HF were included in the case group, and AF patients of similar age without HF were included in the control group. Patients with moderate or severe valvular heart disease, congenital heart disease, pacemakers, or implantable cardioverter defibrillators (ICD), or incomplete data were excluded. Logistic regression was used to identify significant risk factors for new‐onset HF in AF patients. Results A total of 132 subjects consisting of 44 cases and 88 controls were included. Bivariate analysis revealed that the significant risk factors for new‐onset HF in AF patients were CAD [p = .037; OR 2.34 (95% CI 1.11–4.93)], CKD [p = .000; OR 7.78 (95% CI 3.45–17.53)], and LAVI [p = .002; OR 3.23 (95% CI 1.52–6.85)]. In multivariate analysis, CKD [p = .000; OR 6.31 (95% CI 2.69–14.77)] and LAVI [p = .000; OR 3.49 (95% CI 1.42–9.97)] retained their statistical significance as risk factors of new‐onset HF in AF patients. Conclusions CKD and increased LAVI may increase the likelihood of new‐onset HF in AF patients, while hypertension, diabetes, CAD, smoking, and obesity were not significant risk factors for new‐onset HF in our study. |
| format | Article |
| id | doaj-art-cfe0002d9bb3494ead339a30aa589afd |
| institution | Kabale University |
| issn | 1880-4276 1883-2148 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj-art-cfe0002d9bb3494ead339a30aa589afd2025-08-20T03:29:52ZengWileyJournal of Arrhythmia1880-42761883-21482025-06-01413n/an/a10.1002/joa3.70061Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control studyResultanti Irwan Muin0Muhammad Yamin1Ika Prasetya Wijaya2Kuntjoro Harimurti3Hamzah Shatri4Cosphiadi Irawan5Pradana Soewondo6Division of Cardiology, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Geriatric Medicine, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Psychosomatic, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine Cipto Mangunkusumo Hospital, Universitas Indonesia Jakarta IndonesiaAbstract Background Atrial fibrillation (AF) increases heart failure (HF) risk and can eventually increase morbidity and mortality. Therefore, recognizing risk factors in AF patients is crucial to prevent heart failure. To date, there has been no research on this topic in Indonesia. Objective To determine risk factors of new‐onset HF in AF patients. Methods Case–control study was undertaken at Cipto Mangunkusumo Hospital using medical record data from January 2018 to May 2023. AF patients aged ≥18 years with new‐onset HF were included in the case group, and AF patients of similar age without HF were included in the control group. Patients with moderate or severe valvular heart disease, congenital heart disease, pacemakers, or implantable cardioverter defibrillators (ICD), or incomplete data were excluded. Logistic regression was used to identify significant risk factors for new‐onset HF in AF patients. Results A total of 132 subjects consisting of 44 cases and 88 controls were included. Bivariate analysis revealed that the significant risk factors for new‐onset HF in AF patients were CAD [p = .037; OR 2.34 (95% CI 1.11–4.93)], CKD [p = .000; OR 7.78 (95% CI 3.45–17.53)], and LAVI [p = .002; OR 3.23 (95% CI 1.52–6.85)]. In multivariate analysis, CKD [p = .000; OR 6.31 (95% CI 2.69–14.77)] and LAVI [p = .000; OR 3.49 (95% CI 1.42–9.97)] retained their statistical significance as risk factors of new‐onset HF in AF patients. Conclusions CKD and increased LAVI may increase the likelihood of new‐onset HF in AF patients, while hypertension, diabetes, CAD, smoking, and obesity were not significant risk factors for new‐onset HF in our study.https://doi.org/10.1002/joa3.70061atrial fibrillationnew‐onset heart failurerisk factors |
| spellingShingle | Resultanti Irwan Muin Muhammad Yamin Ika Prasetya Wijaya Kuntjoro Harimurti Hamzah Shatri Cosphiadi Irawan Pradana Soewondo Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study Journal of Arrhythmia atrial fibrillation new‐onset heart failure risk factors |
| title | Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study |
| title_full | Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study |
| title_fullStr | Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study |
| title_full_unstemmed | Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study |
| title_short | Chronic kidney disease and increased LAVI as risk factors of new‐onset heart failure in atrial fibrillation: A case‐control study |
| title_sort | chronic kidney disease and increased lavi as risk factors of new onset heart failure in atrial fibrillation a case control study |
| topic | atrial fibrillation new‐onset heart failure risk factors |
| url | https://doi.org/10.1002/joa3.70061 |
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